Organization · Type 2 NPI
Roberta's Lovely Ladies Boutique
Mastectomy Fitter · Alton, IL
NPI number
1174983050
Active
Practice location
603 W. Delmar
Alton, IL 62002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mastectomy Fitter Primary | 224900000X | None listed |
Mastectomy Fitter: An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
About NPI 1174983050
Roberta's Lovely Ladies Boutique's National Provider Identifier is 1174983050, issued on Mar 4, 2016. The primary taxonomy on file is Mastectomy Fitter (224900000X), and the practice location is in Alton, IL. The record was last updated on Mar 4, 2016.